Davis, Van A
Davis, Van A is an sole proprietor health care provider with primary practice located at 1013 N 5Th Ave Ne Suite 3, Rome GA 30165-2664. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Davis, Van A can be contacted via phone (706) 291-7360.Contact Information
Primary practice address
1013 N 5Th Ave Ne Suite 3
Rome GA 30165-2664
Phone: (706) 291-7360
Fax: (706) 291-8655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1829 | Georgia |
Profile Details
| NPI number | 1891810669 |
|---|---|
| LBN Legal business name | Davis, Van A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Oct 14th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891810669 | NPPES |
| Georgia | MEDICAID | 000941762B |
Popular Providers
-
Smith, Gary Locke
1013 N 5Th Ave Ne Suite 4, Rome GA 30165-2664 -
Akel, Abraham
105 Sawgrass Pt , Harrison AR 72601-3072 -
Roth, Reed T
28370 Kensington Ln Suite A, Perrysburg OH 43551-4163 -
Keplinger, Brian Leigh
15 Grandview Dr Ste D, Frankfort KY 40601-3235 -
Varley, Richard W
508 W Chickasha Ave , Chickasha OK 73018-2412 -
Rees, Thomas F
1501 Shorter Ave Sw , Rome GA 30165-3964 -
Bell, Bruce K
550 Redmond Rd Nw , Rome GA 30165-1416 -
Brudner, Peter N.
425 W Central Ave , Lompoc CA 93436-2805